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Financial Conduct Authority 

Authorised & Regulated

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Title
NameAs it appears on official documents such as a driving licence
Date of Birth
So we can send you a copy of your results
What is your marital status?
What is your employment status?
£per year
Please add any other annual income before tax, eg. partner’s income or interest from savings£per year
£per month
How many people depend on you financially?
Are you likely to make an immediate withdrawal from a cash machine using the new credit card?
Residential status
To the nearest full yearyears